None listed
Conditions
Brief summary
This study will explore whether intraoperative NIPE values correlate to the level of post-operative pain and the amount of analgesia required after elective surgery in children. This has not yet been explored, and could ultimately result in less pain and distress to children and their carers.
Interventions
Patients will undergo elective surgery according to local guidelines and practice (i.e. inguinal hernia repair, orchidopexy, patent processus vaginalis ligation for hydrocele, circumcision, umbilical hernia repair and excision of skin lesions).
The NIPE monitor will be connected to the electrocardiogram monitor, to analyse the heart rate variability (and thus parasympathetic tone), producing a value correlating to pain. We will be documenting the mean intraoperative NIPE value, as well as the a
Patients will undergo elective surgery according to local guidelines and practice (i.e. inguinal hernia repair, orchidopexy, patent processus vaginalis ligation for hydrocele, circumcision, umbilical hernia repair and excision of skin lesions). The NIPE monitor will be connected to the electrocardiogram monitor, to analyse the heart rate variability (and thus parasympathetic tone), producing a value correlating to pain. We will be documenting the mean intraoperative NIPE value, as well as the absolute values at the following specified time points: endotracheal intubation, venous cannulation, peripheral nerve block administration, skin incision, and skin closure. Following these procedures, post-operative outcomes will be assessed. Patients will be observed from entering the post anaesthetic care unit until discharge home or to the surgical ward.
Sponsors
Monash Children's Hospital
Eligibility
Sex/Gender
All
Age
0 to 2 Years
Healthy volunteers
No
Inclusion criteria
All children below 2 years of age, with no significant associated co-morbidities (American Society of Anaesthesiologists class 1 and 2), who are undergoing elective surgical procedures will be included. This may include but is not limited to: inguinal hernia repair, orchidopexy, patent processus vaginalis ligation for hydrocoele, umbilical hernia repair and excision of skin lesions.
Exclusion criteria
Children who have cardiac, respiratory or neurological conditions will be excluded, as well as those with a history of premature delivery.
Outcome results
None listed